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Accidental injuries from needle or sharp objects (Causes (Physical…
Accidental injuries from
needle or sharp objects
Causes
Behaviors
Wearing of a needle using both hands
Environment
Lack of sharp disposal bin
Brightness
Physical
Fatigue
No confidence
Sleepiness
Knowledge and Experience
Not follow standards
Lack of knowledge about standards
Impacts
Department
Lost budget
Medicine cost
Laboratory examination cost
Clinical examination cost
Compensation for loss of income
Lack of personal operation
Nurse
Risk of HIV infection from the blood of patients
Risk of pathogens entering the wound
Receive side effects of antiretroviral drugs
Anxiety, Depression
Lose confidence
Concern for sexual intercourse
Relationship problems with couple, family and colleague
Not fully operation
Other people
Patients receive incomplete services.
Colleagues do not trust
Solution
Short-term
Wash the wound immediately with soap and water then wipe with 70% alcohol.
Report incharge and report of supervisors head of the ICN in official time, by recording the accident details in the report.
Blood puncture of personnel and patient after the accident within 72 hours. Check for Anti-HIV HBV serology.
See the doctor to check and receive an explanation of the risk of HIV infection.
Should receive advice, consoling and encouragement
Take antiretroviral drugs (AZT)
Follow-up blood tests to repeatedly check for Anti HIV after 3 months and 6 months after the accident.
Writing a report at the health insurance work to request compensation.
Long-term
During the procedures
Work step by step to prevent confusion in using sharp objects.
Must be concious and shouldn't look away from the the procedure.
Avoid wearing the needle back or using one-hand techniques
Be careful of bumps from people nearby.
After the procedure
Sort out sharp object from other equipment
Check all sharp objects to prevent forgetting
Dispose of used needles in sharp disposal bin
Don’t place or turn the sharp part of the needle up or outside the container.
Before the procedure
Organize a safe working environment
;Enough brightness
Prepare all equipment and placed that can be easily to use
Prepare sharp disposal bin in the convenient places to use and can be discarded immediately.
Wears gloves every time that use needle or sharp object
Assess patients before the intervention
Placed needle in a location clearly visible.
Inform patients of the procedures and
ask for cooperation
Training for providing knowledge to personnel at least once a year.
Organize orientation for new personnel on operations to prevent accidents from injuries needle or sharp objects